A nurse is monitoring the urinary output of a client who had a colon resection. Which 24-hour output total indicates oliguria?

380 mL

550 mL

600 mL

720 mL

Answer and Explanation

The Correct Answer is A

Choice A Reason:

A 24-hour urinary output of 380 mL indicates oliguria. Oliguria is defined as a urine output of less than 400-500 mL per day in adults. This condition can be caused by various factors, including dehydration, kidney dysfunction, or postoperative complications. Monitoring urine output is crucial for assessing kidney function and overall fluid balance, especially after major surgeries like a colon resection.

Choice B Reason:

A 24-hour urinary output of 550 mL is slightly above the threshold for oliguria. While it is still relatively low, it does not meet the strict criteria for oliguria, which is typically defined as less than 400-500 mL per day. This output suggests that the client is producing an adequate amount of urine, though it may still warrant close monitoring to ensure it does not decrease further.

Choice C Reason:

A 24-hour urinary output of 600 mL is within the normal range and does not indicate oliguria. Normal urine output for adults is generally considered to be around 800-2000 mL per day, depending on fluid intake and other factors. This output suggests that the client’s kidneys are functioning properly and that there is no immediate concern for oliguria.

Choice D Reason:

A 24-hour urinary output of 720 mL is also within the normal range and does not indicate oliguria. This output is closer to the lower end of the normal range but still suggests adequate kidney function. It is important to continue monitoring the client’s urine output to ensure it remains within a healthy range, especially after surgery.

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Correct Answer is D

Explanation

Choice A Reason:

“Call the provider” is important but not the first priority. The immediate concern is to maintain the client’s intravenous access to ensure they can receive any necessary medications or fluids promptly. Once the line is secured, the provider should be notified to receive further instructions and manage the client’s condition.

Choice B Reason:

“Notify the blood bank” is also crucial but comes after ensuring the client’s immediate safety. The blood bank needs to be informed to investigate the cause of the reaction and prevent further issues, but this step follows the initial emergency interventions.

Choice C Reason:

“Collect a urine specimen” is necessary to check for hemolysis, which can occur during a transfusion reaction. However, this is not the first step. The priority is to stabilize the client by maintaining IV access with normal saline.

Choice D Reason:

“Keep the line open with 0.9% NS through new tubing” is the correct first intervention. This action ensures that the client remains hydrated and that the IV line is available for any emergency medications or treatments. Using new tubing prevents any contamination from the transfusion set.

A. Mobilizes secretions B. Suppresses the urge to cough C. Reduces inflammation D. Dries mucous membranes H. How does this type of medication work?

Correct Answer is A

Explanation

Choice A Reason:

Mobilizes secretions is correct. Expectorants work by thinning and loosening the mucus in the airways, making it easier to cough up and expel. This helps clear the respiratory tract of mucus and other secretions, making the cough more productive.

Choice B Reason:

Suppresses the urge to cough is incorrect. This describes the action of antitussives, not expectorants. Antitussives work by suppressing the cough reflex, which is different from the mechanism of expectorants.

Choice C Reason:

Reduces inflammation is incorrect. While reducing inflammation can help with respiratory symptoms, it is not the primary mechanism of action for expectorants. Anti-inflammatory medications are used to reduce inflammation.

Choice D Reason:

Dries mucous membranes is incorrect. Drying mucous membranes is typically the action of antihistamines, not expectorants. Expectorants aim to increase the moisture in mucus to make it less sticky and easier to expel.

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A nurse is monitoring the urinary output of a client who had a colon resection. Which 24-hour output total indicates oliguria?

Nursing Test Bank

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Explanation

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Correct Answer is A

Explanation

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